Provider Demographics
NPI:1447583299
Name:STAR DIAGNOSTICS INC
Entity Type:Organization
Organization Name:STAR DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHHIBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-952-1412
Mailing Address - Street 1:3845 MCCOY DR STE 101B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4429
Mailing Address - Country:US
Mailing Address - Phone:630-952-1412
Mailing Address - Fax:630-952-1447
Practice Address - Street 1:3845 MCCOY DR STE 101B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4429
Practice Address - Country:US
Practice Address - Phone:630-952-1412
Practice Address - Fax:630-952-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment